11020 1ST DR SE 2025-01-28 - Laserfiche WebLink

BU. JING PERMIT APPLICATIOni CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 11020 1st DR SE PARCEL#: 00391500003600 CITY Everett STATE WA ZIP 98208 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Addition to existing residence Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Daniel Karasov OWNER MAILING ADDRESS: STREET 11020 1st DR SE Everett STATE WA ZIP 98208 OWNER PHONE: 425-770-4769 OWNER EMAIL: danielkarasov@gmail.com CONTRACTOR COMPANY NAME: See affidavit for owners attached WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: D OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-770-4769 Daniel Karasov CONTACT EMAIL:danielkarasov@gmail.com BUILDING INFORMATION VALUATION OF WORK:$100,000 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING: Primary home residence PROPOSED USE OF BUILDING: Primary home residence HEAT SOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: ZSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑✓Addition ❑Remodel ❑Repair ETA. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Demolition of current 960 sq. ft. garage/shop. - _ Building an addition to existing structure at the rear of existing residence. New 709 sq. ft. addition will have crawl space and connect to existing structure. Garage will have slab on grade. Garage addition = 1,035 sq. ft., proposed deck = 397 sq. ft., new addition = 709 sq. ft. ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom,Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only /-� 06/15/23 PERMIT# / /' I Ow : orized Agent Signature Date (Revised 4/21/2022)